HomeMy WebLinkAbout0132770-Plumbing (water heater)
OSHKOSH
ON THE WATER
Job Address 2317 MINERVA ST
Contractor MERTEN PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
CITY OF OSHKOSH
No 132770
PLUMBING PERMIT -APPUCATIONtAND RECORD
Owner LINDA RPETERS/ETHEL.R ROST LIFE ESTATI Create Date 09/09/2008
Category 411 -Residential-Water Heaters Plan
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
1 ° Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
Clothes Wshr Exam Sink .Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink.."; .. Plaster Sink Standp Rec WtrSewer Mtrs
.Sterilizer ... Surgeons Sink ,Ice Maker Deduct. Meters
Dip Well ~ _ - : F Prep Sink Gar Drain ~ Wtr Usage Mtrs
Drink Ftn < , Serv Sink Soda Disp
Valuation $720.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By /J Date 09/09/2008
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Address 1087 COZY LN
Agent/Owner
OSHKOSH
WI 54901 - 1404 Telephone Number 231-6795
~~~~~~u~~ ~nspecnons please can the mspectton Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~o1H
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account n
** Advisory -For applicable projects, an Electrical Installation Verification (EIS form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
Ofl
Job Address 2.~~~~1 ~ Value (Including labor and materials) ~' Date ~
Owner ~ Contractor
Single Family ^Duplex ^Multi-Family Rental ^Com ercial ^Industrial
Number of Fixtures:
Bathtub Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Wait. St. Wash Ftn
Lavatory Sump Pump Ice Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater ~ Clothes Wshr F Prep Sink Comm. Ice Maker
igSGas a Elect ~ PwrVnt Bidet Serv Sink Site Drain
Shower Beer Tap Int Grease Trap Roof Drain
Floor Drain Classrm Sink Ext Grease Trap S[andp Rec
Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn
Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink Dip Well Flr/Wst Sink Deduct Meters
Sterilizer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use /Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
o~lo~